Provider Demographics
NPI:1942951777
Name:UNITED CEREBRAL PALSY OF BERKSHIRE COUNTY
Entity Type:Organization
Organization Name:UNITED CEREBRAL PALSY OF BERKSHIRE COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SAL
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:GAROZZO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-442-1562
Mailing Address - Street 1:208 WEST ST
Mailing Address - Street 2:
Mailing Address - City:PITTSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01201-5703
Mailing Address - Country:US
Mailing Address - Phone:413-442-1562
Mailing Address - Fax:
Practice Address - Street 1:208 WEST ST
Practice Address - Street 2:
Practice Address - City:PITTSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01201-5703
Practice Address - Country:US
Practice Address - Phone:413-442-1562
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-13
Last Update Date:2022-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty